Transcript
WEBVTT
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Welcome to Real Talk with Tina and Anne.
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I am Anne.
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If you just joined us, this is part two of our conversation with RJ Forman Act.
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And honestly, if you haven't listened to part one yet, we really encourage you to go back because we laid the foundation for understanding FASD as a brain-based disability and why behavior is never just behavior.
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In part one, we talked about the 10 brain domains affected by FASD, the realities families face behind closed doors, and the powerful shift that happens when we move from judgment to understanding.
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Today we go deeper.
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We're going to talk about what support actually looks like in real life, how to respond when traditional approaches don't work, how to reframe expectations without losing hope, and why compassion and structure together can completely change outcomes because living with neurodivergence isn't theory, it's daily life.
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So let's jump in.
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Here is part two.
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Well, I want to talk about neuroanatomy and neurophysiology because the structural brain differences, seizures and scan findings, and you know, we realize that this really is physical.
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And where this affects me in a couple of ways, I want to explain it and ask you.
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Um, I have a couple things that happen to me whenever I'm in an overstimulated situation.
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Uh, one is my spatial sense completely goes, and I'll go into certain stores or I'll go into a situation where I can't hold on to something and it's really open, and all of a sudden I lose my complete spatial sense and I have to hold on to something.
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This also happens to me like I know exactly what I need to have a really good conversation in a meeting.
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I need space.
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I can't have somebody expecting me to sit directly across from them and me look at them, expect eye contact, people sitting next to me, a crowded room or even in a small space.
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And because my brain literally, and I've had this all of my life, if I'm in a situation like that, I'll I'll feel like it's in my brain.
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I'll feel like a short circuit.
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But if I move away, if I look down, if I can talk to the person and be like this, if I can have all those things in place, I'm fine.
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But if you start inserting all these inputs into my brain at one time, I literally short circuit.
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I can understand that.
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It's uh a problem I I have with um basically what you're describing because there are a lot of thoughts going through my mind because all of the thoughts are pictures, that's taken up a whole lot of brain space.
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All those megabytes and millibytes are constantly flashing, and eventually it just gets to be just a total test show.
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But yeah, uh neuroanatomy or neurophysiology is um basically understanding one of the things that often happens with FASD is a smaller head size.
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So that can affect brain development, and also when we understand how FASD in the early parts, okay, so cells start out flat.
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They're not round like we know them.
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And if alcohol is introduced to those flattened out cells and covering them, when the cells close, that alcohol is in the middle of the cell, it's not just on the other side.
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So we have to understand that early early onset of alcohol can be very damaging to the neurons that the brain uses as a structure or scaffolding.
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Basically, the two by fours that you use to hold up the walls.
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Those are neurons, and those are profoundly affected at this time.
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So what ends up happening is our brains develop differently, they're shaped differently, parts aren't necessarily formed the same way that they would have been without the introduction of alcohol.
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So that's where we have to understand neurophysiology.
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I don't want to be too dramatic, but some parts of the brain might not be whole.
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So understanding that is very important.
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It's the brain domain, the physicality of the brain.
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And that affects wildly how it works.
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Yeah, yeah.
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Well, my early neurologist, when I was in kindergarten, said that I didn't have well, the retention and the comprehension and the ability to understand, but I also the part of my brain where it was also damaged pretty significantly was in my eyes, where I don't have the ability, I don't have depth perception, and it's not in my eyes, is the problem, but I don't um converge.
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My eyes don't converge, and I see two different things.
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Fortunately, my brain is very kind and it shut off my left eye.
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And the only time I ever feel it is when somebody, like in church or wherever, you know, they sit in front of me, and they sit in front of my left eye, and then my or my right eye, they'll sit in front of my right eye, and my left eye will have to kick in and work.
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And I'm like, oh, wait a second.
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And I can actually feel it in my brain that that it shifted from my left eye to my right eye.
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Well, Noah's really weird about what you're talking about.
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Um circuits that um are involved with our eyes at the very back of our head.
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But that is so weird, it's kind of cool.
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You would think that um brain, eyes right directly there.
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No, no, it's all the way at the back of our head.
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That's why people see scars when they get hit in the back of the head, because that's what the business center for your brain actually is.
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Understanding that part of the brain that that can be affected.
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Um, often we see the amygdala is is highly overrepresented.
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Now, the amygdala is responsible for emotional regulation, fight or flight.
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Um I got that too.
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Why are we always up and ready to go?
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Well, that's a part of our brain that is highly developed in a lot of cases.
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Now, there is a lot of um conjecture and discussion about whether that's nature or nurture.
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It could be both.
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Because it could be experien experiential that causes us to develop this hyper-vigilance and that causes us to grow, which is why you can often see us freaking out over the smallest things.
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That's our amygdala, um, throwing a little bit of a temper tantrum.
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And there are ways to make people, again, feel safe, feel connected, and not feel that they have to go to those extremes.
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But like anything else, if this secondary symptom goes on for too long, it becomes tertiary.
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And tertiary is almost effectively permanent.
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It's something that they'll always have to deal with.
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Whereas if we can effectively deal with it earlier, it doesn't have to become a permanent brain condition.
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Our brains, neuroplasticity is a thing.
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We can affect the outcome.
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We get to our kids soon enough with the appropriate supports and understanding they're going to be miles ahead of where you and I were at that same age.
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So you're doing really good work, what you're doing.
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Yeah, I they do go to a fetal alcohol clinic now.
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And, you know, that those things didn't exist with us.
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And it's new, uh even for them.
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I mean, it's just new.
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And the United States, we've talked about this, it's behind.
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So I'm really glad that they're starting to uh have those kind of tools and information out there for everybody so that they can get to these kids before they're 12.
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You know, my one son is 12, and he has all of these cognitive issues.
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And so, yeah, you know, the younger the better for sure.
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Definitely, definitely.
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Okay, now one of the biggest also problems in our house as a whole, because there's four of us here, um, is executive functioning.
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And we have touched on that a little bit, but honestly, mine can feel almost non-existent.
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And this is such a huge umbrella domain.
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So I want to talk about different parts of it because we're talking about impulsivity, time blindness, difficulty with transitions, struggles with cause and effect.
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And this is all part of the brain that helps planning, organizing, regulating emotions, which you just kind of talked about, and being able to shift gears and follow through.
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So when executive functioning is impaired, it's not just about being disorganized, it's about how the brain manages life.
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So let's talk about what this actually looks like and why it is so often misunderstood.
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Well, I think you can look at executive functioning as how you use your brain.
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And um, that's often how we're recognized.
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And that's why we say it's largely a brain-based disability.
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Because those are how people recognize that there may be something to look into.
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When you're looking at executive function, everything that you were talking about, absolutely, um, you'll often see planning and sequencing problems, not a realistic uh view of the time it will take to get something done.
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I'm constantly doing that.
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I'll be there in five minutes.
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Well, in 15 minutes, and I'm still not there.
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I'm on my way.
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That's not me being dishonest.
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That's my brain fooling me into thinking I could drive there that fast and not allowing for the school buses and the trains and everything else that you run into in traffic.
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Problem solving and organization.
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I'm terrible at organizing.
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I know people on the spectrum love to keep everything very organized.
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They're very neat, very, very analytical, everything in its place.
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That's not me.
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Absolutely not.
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My brain does not go there.
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It's not, it's uncomfortable for me to be in a sterile environment like that.
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One of the other things that I again I often dealt with was impulse control.
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I was just gonna talk about that.
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Yeah.
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I'm gonna do it.
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And um I I often say there was never a dare that I wouldn't take.
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And that was my Achilles heel because people knew if they dared me to do something, I would do it.
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I don't know, it was childish or uh disinterity.
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I was always getting into the worst trouble because my friend just go, I dare you.
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I got to.
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So I didn't understand how to fight those impulses.
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Um, since then I've learned if I feel an impulse like that, talk to someone around me.
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Say, I'm gonna go out and uh dance naked on the back deck.
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Is that a good idea?
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No, that's not a good idea.
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Are you sure?
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Yep.
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Okay, I'm not gonna do it.
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I'm not gonna say I'm I'm going on the back deck because I get arrested.
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But you know, just some sort of wild idea that I come up with.
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I live with my son.
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My son is is is my anchor.
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He's able to.
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And it's sometimes it's more serious things.
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I'll get angry at someone, or someone will do something else.
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I'm gonna go over there.
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Maybe you don't want to do that.
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I'm gonna call him.
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No, no, no.
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Maybe it's take a while.
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So having that person to sort of give you pause to think about that impulse is very important.
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Yeah, executive function is also hyperactivity.
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My hands are all over the place, everything is moving, I'm the person whose knees bouncing up and down when I'm sitting there, and things like that.
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Yeah, um, and that energy needs to be burned off.
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I can't contain it.
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So I have to find a way to without disrupting the whole room, whether it's a fidget or something in my pocket that I'm playing with in my jacket.
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Always, always.
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I'm always doing my things with my hands and my fingers.
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And and that is an executive function deficit there that I need to do that to keep in the moment.
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Because my brain will just take me to another world in no time at all, unless I, you know, actively want to stay in the moment.
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In my house, I can't tell you how many times they'll say my name before I say, huh?
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Because I really am in my own little world.
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Um, but I wanted to I laughed when you talked about going out on the deck and you know, dancing naked or whatever, because you know, I was at band camp, I can remember in high school, and there was more than just me.
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So I wasn't the only one.
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But they said, you know, go streaking.
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And so I did.
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And we just ran through the Boy Scout camp streaking.
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You know, I mean, I did so many crazy things, and they were all on an impulse.
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It was just, okay, let's go, let's do it.
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And I was game.
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Stuff you would stuff you would not do in your normal life, but it was an impulse, it was a momentary thing, it sounded like fun.
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Yeah.
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Well, I mean, executive functioning is basically like the brain's air traffic control system.
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It's just broken down.
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And and it's having a difficult time figuring out how to navigate.
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So I wanted to ask you about time blindness, which you did mention about that.
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And I think that a lot of us have that, you know, it doesn't register the same way.
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Uh, 10 minutes, and I'll tell you why, too, is because 10 minutes and an hour feel the same to me.
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I don't feel the difference a lot of times.
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Because and I don't know if it's I just live in the moment or I'm lost in the moment, but am living, and then before I know it, I look up and it's an hour later, and I didn't even know it.
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Yeah, anyone who knows me knows time is an abstract, and I have a difficult time with it.
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It's it's something that we as humanity assign to a natural process.
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I can tell you where we are in the day.
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I can find north, south, east, or west in a city, even, just by seeing the way the light falls.
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I understand all of these things about how time works, but I don't understand how man segments it out and then uses that as a measure.
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My brain doesn't honestly understand.
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I know the world works on it, but um, you know as well as anyone that you need to remind me a couple of days beforehand, before one of these things, or I'm going to totally forget it.
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It's not that I don't want to do it, it's not that I'm trying to forget it, but it's just again the way that my brain works.
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So yeah, I mean, I know you.
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So, and and also I have like a plan in my head weekly.
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I have people on weekly.
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So I know on Sunday I do this, on Monday I do this, you know, I remind the person, I send the link, I do all the things.
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So it's already there for me.
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But um, I I know with you and we message each other.
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And so I your brain is my brain.
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I get it.
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We we've we've often said that I think we do share half a brain between us.
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We I think so.
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I think so.
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Okay, so I want to talk about transitions because that's also a really big part of this.
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And transitions are hard because shifting from one thing to another zaps our brain and take shifts us right completely in a different direction that maybe we weren't expecting.
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And it takes time stopping one activity, starting another activity, changing environments, switching from play to homework or preferred to non or non-preferred, you know, what looks like stubbornness is really a neurological overwhelmingness.
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So, RJ, what do transitions feel like for you?
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Well, I can describe what they would look like to someone like you.
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Uh, say, I I'm doing something, you say, Well, let's go uh for ice cream.
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That sounds like a great idea.
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What's my first reaction gonna be?
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No, no, wait a minute.
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I like ice cream.
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Yes, hang on a second, I'll be right there.
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But I need that moment that's my brain protects me from because I can be easily overwhelmed with transitions, and when things I'm not expecting to happen are suddenly happening or I'm being drawn away, that will come up.
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I usually start swearing when that first happens.
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It's like I'll be right from with you.
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Yeah.
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Um, I mean, I try to be nice when when a transition is forced upon me.
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Um, when you're dealing with with kids, it's often to have good to have cues, um, you know, reminders, you know, another 10 minutes.
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Um five, ten more.
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Yeah, we do it.
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Make me want to start wrapping up because uh it's just about time.
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And that way they're not they're still gonna be annoyed, but they're not going to be that shocked annoyed.
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Yeah, whenever myself or I can think of one of my kids specifically is asked to stop um and move to a different whatever it is.
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Uh there is a slamming down of the hand, there is a stomping of feet, there is, you know, but then eventually I'm fine and I'm in, you know, but it it's just that transition to changing, and then I'm fine.
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And you're right, it could be a preferred.
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I like ice cream, but right now I was doing this, and it takes me a few moments to get there.
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Exactly, exactly.
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So it looks like initially obstinence or something could actually be just asking for processing time.
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Yeah.
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We're pretty good at giving my our kids um processing time.
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Not myself.
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I I'm not as nice about it for myself.
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But um, you know, writing a book and working on the podcast and doing all the things that I'm doing as you understand.
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We have our priorities.
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We have these things that we are committed to that we have to do.
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And the second somebody says comes in the room, maybe with a distraction, it's like, I, you know.
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So that that is the first reaction.
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I think that that could be normal, though.
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Not everything that we do is because we have fetal alcohol.
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I mean, it really could just be some of these things could be normal, you know?
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Absolutely, absolutely.
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But again, it's it's often how we're identified.
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Right.
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So because it's someone with a disability, it's automatically often attributed to that one.
00:19:19.599 --> 00:19:29.119
It could be just regular brain fatigue that anyone would have, or that that sudden shock of being concentrating on something and someone bugging you.
00:19:29.279 --> 00:19:31.680
I mean, that's a human reaction.
00:19:31.839 --> 00:19:34.880
That's not necessarily what it's going to be or anything like that.
00:19:35.200 --> 00:19:35.839
Yeah.
00:19:36.160 --> 00:19:44.960
One thing I touched on with my son, or we we talked about a little bit, and also I'll just mention it under executive functioning is a cause and effect.
00:19:45.119 --> 00:19:55.759
And, you know, you can learn the lesson, you can talk about it every day, but you're still gonna get the same behavior without the realization that you're gonna get the same result.
00:19:56.319 --> 00:20:01.119
And, you know, it's like that walking down the same street and you're gonna fall down the same hole.
00:20:01.440 --> 00:20:03.759
Oh, I didn't know that that would happen.
00:20:03.920 --> 00:20:11.839
You know, well, why didn't you know that that would you knew that this was the same street, you knew that this was the same hole, but you still continue to go down it.
00:20:12.000 --> 00:20:25.839
I don't understand sometimes, and I do have a hard time trying to parent somebody who was just like me, who made the same choices and got the same results, but never learned from it.
00:20:26.640 --> 00:20:28.960
Understanding consequences.
00:20:29.359 --> 00:20:33.359
Um, okay, often we're talking about the past.
00:20:33.839 --> 00:20:36.079
So we got memory deficits.
00:20:36.799 --> 00:20:48.640
We have uh a difficulty with abstracts, which could be the idea that you're trying to convey on on top of uh possibly poor memory, an abstract equals results.
00:20:49.359 --> 00:20:56.000
So it might be a little much executive functioning wise for um that understanding.